The use of episiotomy in a low-risk population in the netherlands: A secondary analysis

  • Seijmonsbergen-Schermers A
  • Geerts C
  • Prins M
 et al. 
  • 45


    Mendeley users who have this article in their library.
  • 11


    Citations of this article.


Background: To examine the episiotomy incidence and determinants and outcomes associated with its use in primary care midwifery practices. Methods: Secondary analysis of two prospective cohort studies (n = 3,404). Results: The episiotomy incidence was 10.8 percent (20.9% for nulliparous and 6.3% for parous women). Episiotomy was associated with prolonged second stage of labor (adj. OR 12.09 [95% CI 6.0–24.2] for nulliparous and adj. OR 2.79 [1.7–4.6] for parous women) and hospital birth (adj. OR 1.75 [1.2–2.5] for parous women). Compared with episiotomy, perineal tears were associated with a lower rate of postpartum hemorrhage in parous women (adj. OR 0.58 [0.4–0.9]). Fewer women with perineal tears reported perineal discomfort (adj. OR 0.35 [0.2–0.6] for nulliparous and adj. OR 0.22 [0.1–0.3] for parous women). Among nulliparous women episiotomy was performed most frequently for prolonged second stage of labor (38.8%) and among parous women for history of episiotomy or prevention of major perineal trauma (21.1%). Conclusions: The incidence of episiotomy is high compared with some low-risk settings in other Western countries. Episiotomy was associated with higher rates of adverse maternal outcomes. Restricted use of episiotomy is likely to be beneficial for women. (PsycINFO Database Record (c) 2014 APA, all rights reserved). (journal abstract)

Author-supplied keywords

  • Episiotomy
  • Indications
  • Maternal outcomes

Get free article suggestions today

Mendeley saves you time finding and organizing research

Sign up here
Already have an account ?Sign in

Find this document


Cite this document

Choose a citation style from the tabs below

Save time finding and organizing research with Mendeley

Sign up for free